Archive for April 23rd, 2013

Colorado Passes Stop Loss Insurance Restrictions

Tuesday, April 23rd, 2013

The Colorado House of Representatives has approved legislation that would restrict stop-loss insurance sold to small employers.

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New Website Will Disclose Health Industry Payments To Physicians

Tuesday, April 23rd, 2013

By Ankita Rao

April 23rd, 2013, 5:58 AM

For the first time, the government will make information about financial relationships between doctors, teaching hospitals and drug manufacturers publicly available.

To comply with a provision in the Affordable Care Act, drug and device manufacturers, along with group purchasing organizations, will have to disclose all of their payments and other compensation to physicians and teaching hospitals. Those who don’t comply could be fined.

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Cost Plus Methodologies: Achieving True Cost Containment

Tuesday, April 23rd, 2013

DISCOUNT VERSUS COST PLUS:

From a financial perspective, the discount model employed by PPO’s is ineffective because a discount based on an inflated price does not provide effective cost containment. It is not anchored to the real cost of care. Rather, this outdated approach encourages gaming of the system as providers seize the opportunity to raise their prices disproportionately to their true costs in order to increase their “discount.”

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